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Endo 2 Final Clinical > Benign Conditions Of The Vulva And Vagina > Flashcards

Benign Conditions Of The Vulva And Vagina Flashcards

1
Q

Ambiguous genitalia can present with what 5 conditions?

A 
Clitoromegaly
Clitoral agenesis
Bifid clitoris 
Midline fusion of the labiascrotal folds
Cloaca (no separation between vagina and bladder)
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2
Q

What is the clinical abnormal triad of female pseduohermaphroditism?

A

Clitoromegaly, hypospadiac urethra meatus, and a malpositioned vaginal orifice

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3
Q

What is labia agglutination?

A

Labial majora are stuck together so treat with estrogen

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4
Q

What is a fox-fordyce disease?

A

Raised, yellow itchy cyst in the axilla and labia majora and minor from keratin plugged inflammation

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5
Q

What is the most common genital cyst and what is going on with it?

A

Inclusion cyst that is below the epidermis because the hair follicle has been obstructed

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6
Q

What is characteristic of vulvar varicosities?

A

Blue color

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7
Q

What are lentigo and nevi?

A

Freckles and moles

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8
Q

How do we characterize a urethral caruncle?

A

Small fleshy red outgrowth at the distal edge of urethra

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9
Q

How do we characterize vulvar vestibulitis and what two clinical symptoms does it come with?

A

Minor vestibular glands become infected

Severe introital sex pain or vulvar pain

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10
Q

How do we characterize sebaceous cysts and what is an indie fitting feature?

A

Inflammatory blockage of sebaceous glands.

Cheesy sebaceous material on inner surface of labias.

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11
Q

What is the most common benign solid tumor of the vulva?

A

Fibroma

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12
Q

What are the 5 other tumors of of the vulva besides a fibroma?

A

Lipoma, hidradenoma, syringoma, neurofibroma, and angioma

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13
Q

What is a hidradenoma and what is a syringoma?

A

Sweat gland lesion and eccrine gland tumor

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14
Q

What are the three traumatic lesions of the vulva?

A

Hematoma, circumcision, and obstetric trauma

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15
Q

What is the cause of atrophic vaginitis and how do we treat it?

A

Loss of estrogen.

Topical estrogen or may consider oral estrogen

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16
Q

Cause of lichen simplex chronicus, major symptom, biopsy shows what, and what is treatment?

A

Itching/scratching
Itching
Tons of keratin because its a thickening
Steroid ointments

17
Q

How do we treat lichen sclerosis?

A

Glucocorticoid.

18
Q

Untreated lichen sclerosis turns into what?

A

Squamous cell cancer

19
Q

How does lichen planus present?

A

Purple polygonal papules

20
Q

What is the syndrome lichen planus is involved in and what is it?

A

Vulvar, vaginal, and gingival syndrome.

Lichen planus is vulva, vagina and mouth

21
Q

How do we treat lichen planus?

A

Topical and systemic steroids

22
Q

Two types of vaginal septum?

A

Transverse, upper and middle third, and midline

23
Q

What is the most extreme vaginal anomaly and what syndrome is it part of and why?

A

Agenesis
Part of the RKHS, which is mullerian agensis, so no uterus as well. You do have distal vagina because of urogenital sinus

24
Q

What is vaginal adenosis?

A

Columnar epi persists where Squamous should be

25
Q

What is the most common vulvovaginal tumor?

A

Bartholin cyst

26
Q

Two ways we treat bartholin gland abscess?

A

Word catheterization and marsupialization

27
Q

What is the most common cause of vaginal trauma?

A

Sexual assault

28
Q

What is the most common malignant vulvar tumor and what is the most common symptom?

A

SCC.

Chronic itching

29
Q

What pre lesion is linked to vulvar cancer and what are the two types?

A

VIN 3 which is CIS
Vin usually, which is HPV 16 associated
Differentiated type, that is not HP, but dermatology associated like lichen sclerosis

30
Q

2 clinical features of VIN 3?

A

Itchy is most common symptom

Warty appearance

Endo 2 Final Clinical (15 decks)

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